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Forms / Contact Us

Contact Information

Dr. Robert Janot – Vision Source

**DUE TO THE COVID-19 PANDEMIC, ALL PATIENTS ARE REQUIRED TO SUBMIT A PATIENT REGISTRATION FORM AHEAD OF THEIR APPOINTMENT. INCOMPLETE FORMS WILL DELAY YOUR CHECK IN PROCESS**

Please complete the information on your registration form below (grey boxes) and submit it online. If you are unable to submit this form online, you must call the office @ 337-625-2020 so that we can pre-register you over the phone.

All forms contain confidential information and are delivered to us through a secure Internet connection.

New Patient Registration Form
Consent for Cataract Post-Op Care
Return Patient Registration Form